Provider Demographics
NPI:1912510504
Name:SAKRX LLC
Entity Type:Organization
Organization Name:SAKRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KURLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-973-1914
Mailing Address - Street 1:12741 Q ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-3211
Mailing Address - Country:US
Mailing Address - Phone:402-973-1914
Mailing Address - Fax:402-895-7655
Practice Address - Street 1:5108 L ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-1330
Practice Address - Country:US
Practice Address - Phone:402-733-2001
Practice Address - Fax:402-733-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy